Active NPI
Sheryl J. Obernberger, NP
- Family Nurse Practitioner
- Friendship, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2930
- Practice address
- 402 West Lake St.
Friendship, WI 53934 - Phone
- (608) 339-3331
- NPI assigned
- Nov 24, 2006
- Last updated
- Apr 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 107952 | WI | |
| Family Nurse Practitioner | 363LF0000X | 2930 | WI | Primary |
Addresses
Primary practice location
402 West Lake St.
Friendship, WI 53934
Mailing address
402 West Lake St.
P.O. Box 40
Friendship, WI 53934
Phone (608) 339-3331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
707 14TH St
Baraboo, WI 53913-1539
Phone (608) 356-1400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107952 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| SSM Health Care of Wisconsin, Inc. | Current | Accepting new patients | |
| Black River Memorial Hospital Inc | Current | Accepting new patients | |
| Black River Health Inc | Current | Accepting new patients | |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| Moundview Memorial Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Moundview Memorial Hospital & Clinics, Inc | Current | Accepting new patients | |
| SSM Health Care of Wisconsin Inc | Family | Current | Accepting new patients |
| Black River Health Inc | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
7153 Solutions Ctr
Chicago, IL 60677
707 14th St
Baraboo, WI 53913
Phone (608) 356-1400
711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-3604
402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
Interoperability endpoints
- sobernberger291091@direct.gundersenhealth.org
- sobernberger382130@direct-ehr-ssmhc.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Black River Falls, WI
- NPI 1811940331
-
dba Aspirus Divine Savior Hospital
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
-
dba Gundersen Moundview Hospital and Clinics, Inc.
- Critical Access Hospital
- Friendship, WI
- NPI 1710939533
-
dba Black River Healthcare Clinic
- Rural Health Clinic/Center
- Black River Falls, WI
- NPI 1255183182
-
- Home Health Agency
- Black River Falls, WI
- NPI 1215085253
-
dba Aspirus Portage Clinic
- Rural Health Clinic/Center
- Portage, WI
- NPI 1386154417
-
dba Gundersen Moundview Hospital and Clinics
- Clinic Pharmacy
- Friendship, WI
- NPI 1669056693
-
dba SSM Health St. Mary's Hospital - Janesville
- General Acute Care Hospital
- Janesville, WI
- NPI 1194004408
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health St Clare Hospital-Baraboo
- General Acute Care Hospital
- Baraboo, WI
- NPI 1386641207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1982770723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 WEST LAKE ST.",
"address_2": "P.O. BOX 40",
"city": "FRIENDSHIP",
"state": "WI",
"postal_code": "53934",
"telephone_number": "608-339-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 WEST LAKE ST.",
"city": "FRIENDSHIP",
"state": "WI",
"postal_code": "53934",
"telephone_number": "608-339-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERNBERGER",
"first_name": "SHERYL",
"middle_name": "J.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-24",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "107952",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "2930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Friendship, WI
- Moundview Memorial Hospital & Clinics, Inc. (Gundersen Moundview Hospital and Clinics, Inc.)
- Moundview Memorial Hospital & Clinics, Inc. (Gundersen Moundview Hospital and Clinics, Inc.)
- Moundview Memorial Hospital and Clinics, Inc. (Gundersen Moundview Hospital and Clinics, Inc.)
- Thao TP Nguyen, DO
- Linda L Noble, CSAC, ICADC
- Stephen Charles Paulk, MD
- Jennifer Pavloski, AP SOCIAL WORKER
- Phillips Roche a Cri Clinic Pharmacy Inc (Phillips Roche a Cri Pharmacy Inc)
- R & J Medical Transportation Inc
- Jon D Rawling, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.